Charge Audit Analyst, Cardiac Cath and IR

We are so glad you are interested in joining Sutter Health!

Organization:

Position Overview:

Job Description:

EDUCATION:

• High School Diploma or General Education Diploma (GED)

CERTIFICATION & LICENSURE:

• CPC-Certified Professional Coder
• OR COC-Certified Outpatient Coder
• OR RHIA- Registered Health Information Administrator
• OR RHIT- Registered Health Information Technician

TYPICAL EXPERIENCE:

• 5 years recent relevant experience

SKILLS AND KNOWLEDGE:

• Knowledge of medical terminology, disease processes, patient health record content and the medical record coding process.
• Basic knowledge of anatomy, physiology and pharmacology.
• Familiarity with billing functions and the components of a charge description master.
• General knowledge of Revenue Cycle applications, including Electronic Health Record systems.
• Ability to work concurrently on a variety of tasks / projects in a fast-paced environment with identified productivity requirements and with individuals having diverse personalities and work styles.
• Ability to comply with Sutter Health policies and procedures.
• Ability to work with and maintain confidential information.
• Understanding of hospital-based outpatient charging and coding
• Knowledge of Medicare APC and OPPS reimbursement structures
• In-depth knowledge of medical and billing terminology, common procedure terminology, diagnosis codes, healthcare common procedure coding system, and revenue codes.
• Knowledge of government and/or commercial payer requirements.
• Knowledge of Federal, State, and Local regulatory publications and how to access.
• Knowledge of Outpatient National Correct Coding Edits.
• Demonstrated ability to review a health record and determine applicable charges/codes for hospital/facility billing for a range of service lines.
• Demonstrated ability to utilize official coding/billing resources including CPT/HCPCS references, OPPS Manual, NCCI Manual, NUBC Manual, etc. to determine applicable charges/codes as documented in the health record.
• Possesses strong project management skills.
• Possesses strong interpersonal skills, with demonstrated success at communicating effectively with all levels of the organization, especially senior leadership and department heads.
• Demonstrates skilled ability and comfort with electronic medical records (EPIC preferred) and hospital billing functions.
• Proficient with Microsoft Office computer applications (Excel, Word, and PowerPoint). 
• Effective organizational skills with the ability to prioritize and manage multiple functions and responsibilities simultaneously.
• Effective verbal and written communication skills, good listening skills, and the ability to interpret end users’ needs.
• Strong problem solving and investigative skills.

PHYSICAL ACTIVITIES AND REQUIREMENTS: See required physical demands, mental components, visual activities & working conditions at the following link: Job Requirements

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Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.